Perioperatives Temperaturmonitoring

Zusammenfassung

Die perioperative Messung der Körpertemperatur ist eine Grundvoraussetzung zur Vermeidung von Hypothermie und deren negativen Folgen. Die orale Temperatur–messung in der hinteren Sublingualtasche ist prä– als auch postoperativ die Methode der Wahl. Intraoperativ ist eine kontinuierliche Temperaturmessung wünschenswert, intermittierend aber zumindest alle 15 Minuten erforderlich, wobei als wenig invasive Methode die nasopharyngeale (orale), ösophageale, vesikale und rektale Messung unter Berücksichtigung spezifischer Störfaktoren akzeptable Alternativen sind. Von der Ohr–Temperaturmessung muss aufgrund der erheblichen Ungenauigkeit abgeraten werden.

Summary

Perioperative monitoring of core body temperature is a prerequisite for detection of inadvertent hypothermia and its negative consequences. Oral route using rostral sublingual pocket is pre– and postoperatively the method of choice. Intraoperatively, countinuous temperature monitoring is desireable, however continual measurement at least every 15 minutes is mandatory. Acceptable semi–invasive alternative methods comprise nasopharyngeal (oral), esophageal, urinary bladder and rectal measurements taking into account specific limiting factors. Ear–based temperature monitoring cannot be recommended because of its considerable inaccuracy.

Schlüsselwörter

normale Körpertemperatur - perioperative Hypothermie - Körper–Temperaturmessung - Genauigkeit - Präzision

Keywords

normal body temperature - perioperative hypothermia - body temperature measurement - accuracy - precision

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